NPIMap

Organization Active NPI

Reddy Urgent Care-Monroe LLC

Doing business as Monroe Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Monroe, GA
National Provider Identifier
1689097859
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
REDDY URGENT CARE-MONROE LLC
Doing business as
Monroe Reddy Urgent Care
Practice address
500 Great Oaks Dr
Suite 9
Monroe, GA 30655-8225
Phone
(706) 621-7575
Fax
(706) 621-7557
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brandi M Gordon
Title
Credentialing Manager
Phone
(706) 621-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

500 Great Oaks Dr
Suite 9
Monroe, GA 30655-8225

Mailing address

PO Box 529
Royston, GA 30662-0529
Phone (706) 621-7575

Other names 1

  • Monroe Reddy Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140331000221 GA Part B Supplier - Clinic/Group Practice 2769613025 Receives reassigned benefits from 13 practitioners
Practice locations: Monroe, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1689097859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306620529",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GREAT OAKS DR",
            "address_2": "SUITE 9",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558225",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY URGENT CARE-MONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "706-621-7561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Reddy Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.